Critical Care – Adult
We are a highly skilled team, focused on the provision of safe and effective, harm free care to both critically ill patients and their relatives.
Over 3000 patients are admitted to our Critical Care Units every year, cared for by our multidisciplinary team comprising Registered Nurses, Healthcare Support Workers, Nurse Apprentices, Research Specialist Nurses, Advanced Critical Care Practitioners, Physiotherapists, Occupational therapists, Dieticians, Pharmacists, Speech and Language therapists.
CUH Critical Care has a total of 55 beds, divided between three units, offering Level 2 and Level 3 care, to patients with a wide range of health needs.
- D3 Critical Care (John V Farman Intensive Care Unit: JVF ICU) – 20-bed, General Intensive Care Unit
We deliver care to critically unwell patients with both primary medical and surgical problems. Our case mix consists of patients from many specialities including hepatobiliary, upper gastrointestinal, urology and gynaecological oncology surgery, hepatology, haematology, renal, respiratory, general medicine and following liver and multi-visceral transplantation.
- D4 Critical Care (previously Intermediate Dependency Area: IDA) – 12 bed, Level 2 Unit with Level 3 capacity
We provide close monitoring and organ support, to all specialities of patient, during the initial period post-surgery, patients stepping down from intensive care or those patients entering an acutely ill phase. We provide care for patients who require a higher level of support than ward level care, but do not need Level 3 care.
- Neuro Critical Care Unit (NCCU)
A 23 bed, tertiary centre of neurosciences intensive care medicine and the East of England Major Trauma Centre. We care for patients with traumatic brain injury, subarachnoid haemorrhage, ischemic stroke, complex multi-system trauma and medical neurological diseases.
Registered nurses across all 3 Units are trained in a structured manner, following the nationally recognised Step Competency Framework through mentorship, supervision, in house training and have the opportunity to undertake a Critical Care course at level 6 or Level 7. We provide the opportunity for rotation through all Units to facilitate cross skilling, competency resilience and a broad and interesting experience.
We welcome applications from Registered Nurses with or without Critical Care experience, and from Registered Nurses both in the UK and across the world.
What can we offer you?
• The opportunity to develop a range of transferable skills in a fast changing, supportive and friendly environment
• Orientation and Continuous Professional Development, through a Critical Care Foundation Programme, delivered by a dedicated Practice Development Team: Supernumerary period, twelve local study days and nationally recognised competencies: Steps Competency Framework for Adult Critical Care Nurses
• East of England Critical Care Course at Level 6 and Level 7, accredited by the University of East Anglia
• RN rotational programmes through the three units and incorporating Papworth Critical care Unit (heart and lung transplant, ECMO, cardiac mechanical support and thoracic critical care)
• On-going professional development and support with opportunities for career progression. We offer leadership and management opportunities following the NHS leadership academy programme
• Conference attendance and presentation both nationally and internationally
• We recruit for and participate in multiple NIHR portfolio studies
• Psychological wellbeing support. We have an in-house Psychologist and Psychological Wellbeing Practitioner, offering services to patients, relatives and staff
I started to work at CUH 6 years ago, when I moved here from Italy. I worked in a busy surgical ward for 2 years before moving to JVF ICU in 2017. I enjoyed working in the surgical ward as I could develop practical skills, however I always knew that Critical Care was the right place for me.
I’ve always been very fascinated about the physiology and pathophysiology of the human body and I thought that working in ICU could give me a better insight of these topics, while managing equipment and monitoring. What I didn’t expect, though, was to remain absolutely astonished by the holistic care that the ICU nurses provide to their patients. As soon as I started working in Critical Care I realised that I wanted to be that kind of nurse, the one being able to make a real difference for their patients. There are no words to explain all the compassionate care that I’ve seen in these years in ICU and how we can all go the extra-mile for our patients.
During my time in JVF ICU I have rotated to NCCU, which allowed me to develop my critical care knowledge and skills even further. I then completed the Critical Care Course which gave me even more acquaintance with the critically ill patient.
I recently joined the Practice Development Team and I absolutely love it. Being able to guide the new starters/students in Critical Care is amazing, as it gives me the opportunity to support them all throughout their pathway, and, also, to relieve the fears they might have when starting to work in such a frightening environment.
I find working in critical care so exciting because you develop your critical thinking and you need to solve several problems (at the same), while making sure you look after your patient and his/her family. Critical care is a great, challenging environment with plenty of learning opportunities.
Finally, I learnt to really appreciate what “teamwork” means and why it is so important…it can literally change your whole shift!
I’ve worked on JVF ICU as a staff nurse for 14 months, for me personally this is the best decision I ever made! Previously I worked on a medical assessment unit and in the emergency department, however being newly qualified and at the start of my career I knew I wanted something different. I was looking for a nursing role that was challenging, engaging, holistic and able to provide opportunities for personal development. I discovered all of this within critical care.
I have found a balance between critical thinking, assessment skills and problem solving, alongside caring for a patient holistically and spiritually. No two days are the same, and we look after some of the most poorly people in the region, with complex and interesting medical conditions.
The learning opportunities seem endless – from regular study days and involvement in research, to opportunities for further academic study. If you are looking for a challenge and the chance to to learn new skills with a supportive, like minded and fun team then please come and join us!
I am from Pakistan and came to Addenbrooke’s hospital in February 2021, in order to work in Neuro Critical Care Unit.
Initially this transition from my previous hospital to a world class NCCU seemed to be very challenging to me as practices were very different here. In the beginning I would feel very naïve as we have different equipment here, I never used EPIC software before and I was just scared of making any error; also the latest technology that is readily available here, was not common in my previous ICU. For the first few days I was always in a doubt that whether I will ever be able to learn all of it? However, here the team have been extremely supporting. I always had nurses supporting me, helping me with the transition. They even let me do practice for my OSCE exam and would give their valuable feedback so I can improve. The best thing that I learnt here is the concept of 24 hour care, I think it is very important for nurses to understand this element in their care and not to restrict the care based on shift tasks.
The positive feedback that received made me feel very confident, and I even passed my OSCE at the first attempt. Special thanks to my manager and the Practice Development team who were always there checking on me, even when I had to quarantine, and after that as well. They have always been supportive in making my schedule flexible so that I could focus on my OSCE. I am, and will always be indebted for the love and support my mentors have given me in this transitional phase.
Now that I have passed my OSCE, I feel myself working confidently in order to look after complex critical care patients. The Practice Development team is enrolling me in further study days so I can work more efficiently with evidence based practice.
This journey from my previous ICU to the Neuro Critical Care Unit has been amazing.
My journey at CUH began September 2019 when I joined the Neuroscience Critical Care Unit (NCCU) as part of the Nursing Apprenticeship Programme. Prior to starting my role here, I had never worked in a hospital, so I had lots of new things to learn. Although it did take some time learning different names for equipment, medication, and procedures, I received lots of support from the welcoming and experienced nurses, doctors, physiotherapists, and dieticians on my unit.
They continue to teach me new things each time I am on shift and have exemplified to me the importance of being able to work well as a team to best promote patient and relative wellbeing. During the time I have worked here, I have been able to observe different medical procedures, such as tracheostomies and bolt insertions, alongside develop my own practice through specific training days on wound care and blood glucose monitoring.
I look forward to continuing my training and eventually working alongside my nursing colleagues on NCCU.
I have worked on JVF ICU as a Nursing Apprentice/Healthcare Support Worker for 7 months. Having previously worked on Medicine for the Elderly ward, for me personally moving to the Intensive Care Unit was the best decision I made. Whilst doing my nursing studies, I knew I wanted to be in a more advanced setting to develop my skills and knowledge. Working here has enabled me to feel like a valued team member and important within my job role. I have been able to gain many skills whilst working in Critical Care and the experience I have had so far I would never get anywhere else.
It is extremely interesting and rewarding to look after some of the region’s most poorly patients. I see so many different types of interesting cases and it’s great to be able to link my clinical practice with my academic studies.
I always feel extremely supported when asking questions and the team is so eager to help everyone learn.
We have some of the most knowledgeable nurses and doctors here, providing outstanding clinical practice and care towards our patients holistically and spiritually. There are so many opportunities to progress and pathways to follow, for different roles within the unit. We have a fantastic Practice Development Team and colleagues who are supportive 24/7.
If you are looking for a change in role and want to further your skills, with a fun, enthusiastic, and encouraging team, JVF ICU is the place for you!
A message from critical care to friends, family and our patients
Praise for staff on ICU
- “Nurses were so attentive to my needs, as well as those of my husband”
- “Staff were always smiling when they arrived on shift”
- “I was always kept up to date and informed on what was happening with my son”
- “I felt safe leaving my daughter to go home”
- “…a positive learning environment…”
- “…always happy to answer questions…”
- “My care in the ICU was absolutely outstanding – both the staff and facilities…”
- “No words can express the gratitude I feel. The care I received surpassed his wildest expectations”
- “We are so grateful to the nurses who made memory boxes for my sons to remember their dad by”